NOMNCs and ABNs

[mamahank40]

I have never issued an ABN (or even knew about them) since I've been in the MDS role. I always review/present the NOMNC at least 48hrs prior to the last covered day. I am just now seeing that if the Resident is going to remain in my facility long term, I am to issue an ABN at the same time? I have read all the info I could find but I am still so confused. The top of the form mentions "Medicare probably will not pay for...", and I am to list the service and the reason. I have no clue what I am supposed to fill in. And the cost of said service??

Could someone please give me an example? I was just informed that a Resident is being discharged from therapy on 9/15, so he will be resuming his Medicaid benefits on 9/16.

I understand this is not new, and it is something I should have been doing all along, but I cannot imagine adding this to my plate. Is this always the MDS Coordinator's responsibility?

Thanks in Advance!

Amy

[HyzenthlayLPN]

It has been a while since I was an MDS nurse but if I recall correctly, where it says "Medicare will probably not pay for..." I put something like "skilled nursing services" and for the reason I put something along the lines of "You no longer need skilled nursing services. You need custodial care and Medicare does not pay for custodial care"